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Blue Cross and Blue Shield of Georgia

PW_G279130
 
2017 Medicare Advantage Evidence of Coverage (EOC), Summary of Benefits (SOB), and Formularies for Individual Medicare Advantage Products. If the product you are searching for is not on the list below, then please call the number on the back of the member’s ID card for EOC, SOB, and Formulary information.  
HMO 

MediBlue Plus (HMO)  
Bryan, Burke, Chatham, Clayton, Columbia, DeKalb, Effingham, Forsyth, Fulton, Glascock, Gwinnett, Harris, Jefferson, McDuffie, Muscogee, Richmond, Rockdale, Talbot, and Warren Counties 
EOC  
SOB  
Rx 
MediBlue Prime Select (HMO)  
Clayton, DeKalb, and Fulton Counties 
EOC  
SOB  
Rx 
 
PPO 

MediBlue Access (PPO)  
Bibb, Forsyth, Fulton, Harris, Jones , Liberty, Meriwether, Muscogee, Newton, Peach, Rockdale, Talbot, Toombs, and Twiggs Counties 
EOC  
SOB  
Rx 
 
DSNP 

MediBlue Dual Advantage (HMO SNP)  
Bryan, Burke, Chatham, Clayton, Columbia, DeKalb, Effingham, Forsyth, Fulton, Glascock, Gwinnett, Harris, Jefferson, McDuffie, Muscogee, Richmond, Rockdale, Talbot, and Warren 
EOC  
SOB  
Rx 
 
PDP 

Blue MedicareRx Standard (PDP)  
 
EOC  
SOB  
Rx 
Blue MedicareRx Plus (PDP)  
 
EOC  
SOB  
Rx 
Blue MedicareRx Premier (PDP)  
 
EOC  
SOB  
Rx 
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.